Tara Collingwood, RD, CSSD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

816645

Practice address

3000 N Orange Ave Ste D
Orlando, FL 32804-7613

Phone

(321) 287-8834

NPI assigned

Jul 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tara Gidus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1336791854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 BANBURY TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514801",
            "telephone_number": "321-287-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N ORANGE AVE STE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047613",
            "telephone_number": "321-287-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINGWOOD",
        "first_name": "TARA",
        "credential": "RD, CSSD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "816645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "GIDUS",
            "credential": "RDN, CSSD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Collet, ARNP
• Paola Colletti Acosta
• Nancy L Colley
• Isis Collier
• Michael David Collier, LCSW
• Amanda Hester Collins, APRN
• Andrea Collins
• Briana Simone Collins, DO, MMS
• Brittany Collins
• Calvin Collins Jr., M.D.

• Registered Dietitian in Orlando, FL
• Providers in Orlando, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.